STAGES
MEDICATIONS
ETIOLOGY
MISCELLANEOUS
OB MTP
100

HEMORRHAGE STAGE IDENTIFIED BY A QBL OF ≥ 1,000 mL WITH CONTINUED ABNORMAL BLEEDING

WHAT IS STAGE 1

100
FIRST LINE MEDICATION FOR PERINATAL HEMORRHAGE

WHAT IS OXYTOCIN: INCREASE RATE IF ALREADY INFUSING

100

MOST COMMON CAUSE OF POSTPARTUM HEMORRHAGE 

WHAT IS UTERINE ATONY

100

IN 2019, THIS PERCENTAGE OF MATERNAL DEATHS WERE RELATED TO PPH

WHAT IS 11%

100

WHEN ACTIVATING THE MASSIVE TRANSFUSION PROTOCOL (MTP) FOR HEMORRHAGE, THE RN MUST NOTIFY THIS DEPARTMENT & SPECIFY THIS TYPE

WHAT IS THE BLOOD BANK AND OB MTP

200

CALLING THE BLOOD BANK TO ACTIVATE STAGE 3 OB MTP MEANS YOUR PATIENT'S QBL IS

WHAT IS ≥ 1,500 mL

200

SECOND LINE MEDICATION FOR A PERINATAL HEMORRHAGE

WHAT IS METHERGINE

200

FIRST STEP WHEN PATIENT HAS A TRICKLE OF BLOOD

WHAT IS FUNDAL MASSAGE

200

PPH AFFECTS THIS MANY WOMEN ANNUALLY 

WHAT IS @ 14 MILLION

200

WHEN ENTERING THE ORDERS IN EPIC FOR A MASSIVE TRANSFUSION, THE RN CAN SEARCH FOR THIS IN THE ORDERS

WHAT IS MTP
300

RN CALLS PROVIDER/ANESTH. DURING STAGE 2. SHE WILL ALSO NOTIFY THE FOLLOWING 3 PEOPLE

WHO ARE THE NURSING SUPERVISOR; PASTORAL CARE; INTERVENTIONAL RADIOLOGY

300

CONTRAINDICATION OF METHERGINE

WHAT IS HYPERTENSION

300

FIRST 3 STEPS TO TAKE WHEN PATIENT IS HEMORRHAGING

WHAT IS TO 

CONTINUE FUNDAL MASSAGE IF UTERINE BLEED; CALL FOR ASSISTANCE - BROADCAST                 ASSIGN DUTIES TO OTHERS THAT COME TO HELP

300

PPH, THE LEADING CAUSE OF MATERNAL MORTALITY RESULTS IN THIS MANY MATERNAL DEATHS GLOBALLY EACH YEAR

WHAT IS @ 70,000

300

THE FIRST REPEAT PACK OF PRODUCTS FROM BLOOD BANK WILL CONTAIN THESE

WHAT IS 4 u PRBCs; 4 u PLASMA; 1 u PLATELETPHERESIS

400

DURING THIS STAGE, THE RN SHOULD TRANSFUSE 2 u PRBCs PER SIGNS/SYMPTOMS

WHAT IS STAGE 2

400
CONTRAINDICATION OF HEMABATE

WHAT IS ASTHMA

400

THREE DUTIES TO ASSIGN DURING A HEMORRHAGE

WHAT IS RUNNER (GRAB HEMORRHAGE CART; MEDS; ETC); RECORDER; SOMEONE TO CONTINUOUSLY WEIGH PADS

400

4 T'S OF PPH: TONE; TISSUE; TRAUMA; THROMBIN EQUATE TO THESE

WHAT IS UTERINE ATONY (tone); RETAINED PLACENTA (tissue); LACERATION (trauma); COAGULOPATHY (thrombin)

400

THIS PRODUCT WILL BE INCLUDED IN THE SECOND REPEAT PACK OF PRODUCTS FOR OB HEMORRHAGES

WHAT IS pCRYO

500

THESE ARE THE SIGNS/SYMPTOMS TO BE ASSESSED TO DETERMINED NEED FOR BLOOD

WHAT ARE PULSE (>110); BP (<85/45); AND O2 SAT (<95% OR TRENDING)

500

SECOND LINE MEDICATION FOR PATIENTS WITH HYPERTENSION AND ASTHMA

WHAT IS CYTOTEC

500

THIS REQUIRES CAREFUL INSPECTION TO DETECT

WHAT IS A LACERATION

500

THIS IS THE PERCENTAGE OF NEONATAL DEMISES ASSOCIATED WITH PPH (INCLUDES STILLBIRTH AND NEONATAL MORTALITY)

WHAT IS 11%

500

ONCE THE NEED FOR BLOOD PRODUCTS HAS ENDED, THE RN SHOULD COORDINATE THESE 2 TASKS RIGHT AWAY

WHAT IS NOTIFY BLOOD BANK THE MTP HAS STOPPED; RETURN ANY REMAINING PRODUCTS TO BLOOD BANK

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